| NPI | 1972801983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B CASSIDY Owner 859-278-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 27546) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |